Comparison of peritoneal dialysis and hemodialysis survival in ă Provence-Alpes-Cote d'Azur
Résumé
Purpose. - To analyze and compare survival of patients initially treated ă with peritoneal dialysis (PD) or hemodialysis (HD). ă Methods. - We used data from the French REIN registry. We included all ă patients aged 18 years or more who started dialysis between 1st January ă 2004 and 12 December 2012 in Provence-Alpes-Cote d'Azur Region (PACA). ă These patients were followed up until 30 June 2014. Survival curves were ă generated using the Kaplan-Meier technique and tested using the log-rank ă test. Variables predictive of all-cause mortality were determined using ă Cox regression models. The propensity score was used. ă Main results. - Survival was similar between initial dialysis ă modalities: PD and HD, even after adjusting for the propensity score. ă But, when we exclude the patients who had switched from one technique of ă dialysis to another, survival was better in HD patients. According to ă the multivariate analysis, advanced age and the lack of walking autonomy ă appear to be associated with an increase in mortality in dialysis ă patients. But, the presence of hypertension improve the survival in this ă cohort. ă Conclusion. - The survival is similar between hemodialysis and ă peritoneal dialysis. (C) 2016 Association Societe de nephrologie. ă Published by Elsevier Masson SAS. All rights reserved.